Inhalation actuated device for use with metered dose inhalers (MDIS)

Information

  • Patent Grant
  • 6357442
  • Patent Number
    6,357,442
  • Date Filed
    Tuesday, October 27, 1998
    26 years ago
  • Date Issued
    Tuesday, March 19, 2002
    22 years ago
Abstract
A device for use with metered dose inhalers includes a housing configured with a void to receive a metered dose inhaler, an actuator assembly which is configured to selectively apply force to the metered dose inhaler to cause the metered dose inhaler to release medicament, and a cocking mechanism for placing the actuator assembly in an armed configuration. The device is configured to actuate the metered dose inhaler as the user inhales, thereby ensuring improved medicament delivery. Additionally, the device is configured to prevent the metered dose inhaler from remaining in a vented position.
Description




BACKGROUND OF THE INVENTION




1. Field of the Invention




The present invention relates to inhalation/breath actuated devices for use with metered dose inhalers (MDIs). Metered dose inhalers, as used herein and as commonly used in the art, are comprised of an aerosol canister which contains medicament for administration to the lungs, a metering valve which is disposed in the canister and which releases a predetermined amount of medicament from the canister when the canister is actuated, an actuator which holds the canister and includes a-opening for oral inhalation, and an actuator stem which channels the medicament released by the metering valve out through the opening and toward the user. More particularly, the present invention relates to a device which receives a metered dose inhaler and which automatically actuates the metered dose inhaler responsive to inhalation by the user.




2. State of the Art




When an asthmatic or other person suffering from inhalation problems has difficulty breathing, it is typically desirable to introduce medicament into the person's lungs to restore normal breathing patterns to the extent possible. For many years, this has been accomplished by the use of metered dose inhalers. The metered dose inhalers include a canister which contains medicament and a propellant, a metering valve which dispenses the medicament from the canister, an actuator body that receives the canister and which forms an opening for oral inhalation, and an actuator stem which receives medicament from the canister and directs it out the opening in the actuator body. Moving the medicament canister relative to the actuator body and actuator stem causes the metering valve to release the predetermined amount of medicament. Each metered dose inhalator is regulated by the U.S. Food and Drug Administration and each of the components is specifically designed relative to the parameters of the other components.




When the user is having difficulty breathing, the opening of the actuator body is placed in the user's mouth and then the canister is moved downwardly in the actuator so that the metering valve discharges the predetermined dose of medicament and propellant. The medicament passes through the actuator stem and then out the opening in the actuator body.




One problem which is recurrent in the use of metered dose inhalers is that the user often actuates the metered dose inhaler and then begins inhalation. Such an inhalation/medicating pattern limits the amount of medicament delivered to the lung and causes most of the medicament to impact the mouth and throat. Thus, the user obtains much less than an optimal dose of medicament.




In attempts to overcome the problems associated with manual actuation of the metered dose inhalers, several inhalation/breath actuated metered dose inhalers have been developed. Such devices are designed to provide proper coordination of dispensing a dose of medicament with the inhalation of the user, thus providing for the maximum proportion of the dose of medicament to be deposited in the lungs. Examples of such devices are described in U.S. Pat. Nos. 5,404,871; 5,347,998; 5,284,133; 5,217,004; 5,119,806; 5,060,643; 4,664,107; 4,648,393; 3,789,843; 3,732,864; 3,636,949; 3,598,294; 3,565,070; 3,456,646; 3,456,645; 3,456,644; British Patent Specification Nos. 2,061,116; 1,392,192; 1,335,378; 1,269,554 and German Patent No. 3,040,641.




Existing breath-actuated inhalers are designed to accommodate available aerosol canisters separate from the receiving bodies or housings for which they were originally designed, marketed, and approved by the Food and Drug Administration (FDA). Aerosol medications of the pressurized inhaler type are drug products approved and regulated by the FDA as the combination of the pressurized aerosol canister and the actuator used to atomize the canister metering valve contents. The actuator is regarded as an integral part of the aerosol drug delivery system, since the design of the housing greatly influences the nature of the aerosol spray generated for inhalation by the patient. The design of the actuator impacts not only the amount of medication released from the inhaler, but the amount of medication received by the patient due to the actuator's influence on the particle size and velocity distribution of the emitted aerosol mist and the influence of the particle or droplet size distribution and velocity on impaction in the patient's respiratory tract.




As a consequence, existing breath-actuated inhalers must be approved by the FDA in conjunction with a particular aerosol-based medication canister. As a result, these inhalers have not been generally available to the patient public for use with the full range of aerosol-based medications which are available for the treatment and management of disease. For example, a person must obtain a breath actuated device that has been approved by the FDA with the canister of medication recommended by the physician or the individual must obtain a metered dose inhaler of the desired medication, i.e., the combination of the medicament container and the actuator approved by the FDA.




A problem with many of the mechanical breath-activated inhalers is that the aerosol canister remains in the depressed position (after firing by the inhaler's internal actuation mechanism) until the patient physically intervenes and relieves the mechanical load on the aerosol canister by moving a lever, strap, or some other mechanical means. Immediately after venting, the metering chamber (valve) of the aerosol canister becomes vulnerable to the intrusion of air and the extent of air intrusion increases with the length of time the canister remains in the depressed position. The intrusion of air in this fashion can result in “vapor locking” of the metering valve, resulting in incomplete filling of the metering chamber of the valve when the canister is ultimately released from the depressed position. Incomplete filling of the metering chamber, in turn, results in incomplete dosing on the next actuation of the inhaler, due to the lower quantity of drug which has entered the metering chamber from the liquid contents of the canister.




Another problem associated with some mechanical breath-actuated inhalers is that the aerosol canister actuation mechanism must be in the “armed”, ready to fire, position in order to allow recovery of the aerosol canister from the depressed position under the action of it's own internal valve spring. Two potential consequences may result from this condition. First, the actuation mechanism may be “armed” during the intervals between inhaler use or, second and of potentially more seriousness, the actuator mechanism may be “armed” during storage. This is particularly concerning when the device, as a consequence of its sale in combination with an aerosol canister as mandated by the FDA, is packaged with an aerosol canister in place. Thus, the actuator mechanism could be in the armed position for up to three years. In either event, the functional life and reliability of the device may be compromised by the long term stress effects of maintaining the actuation mechanism in the “armed” position for extended periods.




In addition to the above, the actuator mechanism may “relax” or creep, in either a fluid or bulk mechanical sense, if the device is stored for prolonged periods in the “armed” position, resulting in a change in actuator functionality with effects that may range from “premature” firing of the aerosol canister to delayed or extended firing time during the canister depression phase. In both cases the patient does not receive the prescribed dose of medication which the inhaler was designed to deliver.




Electro-mechanical inhalers are also known. U.S. Pat. No. 5,347,998 describes a breath-actuated inhaler with an electromechanical priming mechanism. It is the object of the invention described therein to provide an inhalation device for use with pressurized aerosol canisters which does not require manual priming for firing the valve contained within the aerosol canister. Further, the inhaler provides an electromechanical means for relieving the firing load imposed on the aerosol canister during actuation.




U.S. Pat. No. 5,284,133 describes a dose timer, actuator mechanism, and patient compliance monitoring means. The invention relates to a dose or timing controlled actuator that operates in conjunction with an inhalation device to prevent both patient under-compliance with prescribed medication dosing and patient abuse of or dependence on prescribed medication. The invention contemplates the use of an actuator to prevent patient actuation of the inhalation device at non-prescribed intervals or at higher than prescribed doses, and the use of an alarm to notify the patient regarding undercompliance/underdosing situations and attempted abuse situations.




U.S. Pat. No. 5,404,871 describes an apparatus and method for delivering an amount of aerosolized medicine for inspiration by a patient in response to the occurrence of an appropriate delivery point or points in the patient's detected breath flow. Changes in a patient's breath flow pattern during the course of an aerosolized medication inspiration therapy program may be detected and used to adjust the controlled amount of medication to be delivered in a given administration and/or to conform to the pattern of the patient's condition or change in condition. The device may also contain a library of administration protocols or operating parameters for different medications and means for identifying, from the canister, the medicinal contents of the canister for customizing operation of the apparatus.




U.S. Pat. No. 5,497,764 describes a portable, battery powered, hand-held system for releasing a controlled dose of aerosol medication for inhalation by a patient including a durable body and an aerosol medication cassette inserted in the durable body. The durable body includes an actuator mechanism for engaging an inserted cassette and its canister, and an actuator release mechanism for controlling the actuator mechanism to depress the canister for a selected period of time to release the desired dose of medication and then release the canister. The actuator mechanism, includes a compression spring for depressing the canister and a torsion spring for reloading the compression spring. The torsion spring is reloaded by rotating the cassette from an open position for delivering aerosol to a closed position. The actuator release mechanism includes a motor and trigger in assembly that controls the release of the compression spring and the torsion spring, and, hence, the time that the canister is depressed.




An additional problem with the presently available breath/inhalation actuated metered dose inhalers is the risk which is posed by actuator failure. Because the devices replace the conventional actuator body, many of them have no mechanism which permits manual actuation of the canister in the event the breath/inhalation activated mechanism fails. If a spring or other component of the devices were to fail, the user may have no way to dispense the medicament contained within the canister. Thus, a user may be deprived of medicament while undergoing an asthma attack due to actuator failure.




Thus there is a need for an improved device for use with metered dose inhalers. Such a device should be easy to use and relatively inexpensive. Additionally, such a device should not require replacement if new medication is to be used, and should allow for conventional actuation of the metered dose inhaler when desired.




OBJECTS AND SUMMARY OF THE INVENTION




It is therefore an object of the present invention to provide a novel inhalation device for use with metered dose inhalers (MDIs).




It is another object of the present invention to provide a device for use with metered dose inhalers which dose not require replacement of the device when medicament is changed.




It is another object of the present invention to provide an inhalation device for use with metered dose inhalers which includes a mechanical mechanism for applying the force required to actuate a metered dose inhaler at a preset patient inspiration flow rate.




It is still another object of the invention to provide such a device wherein the metered dose inhaler is physically incorporated into the device with the aerosol canister still housed in the actuator for which the medication has received FDA approval.




It is yet another object of the present invention to provide an auto-return mechanism for returning the aerosol canister of a metered dose inhaler to a “resting” position within a brief time following actuation to assure that the metered dose inhaler is properly “primed” for administration of a subsequent dose.




It is a further object of the present invention to provide viscoelastic means for controlling the timing function of the auto-return mechanism.




It is yet a further object of the present invention to provide means for arming the mechanical metered dose inhaler actuation mechanism, just prior to use, by incorporating the arming function with opening of the device for use.




It is still a further object of the present invention to provide a mechanical override mechanism by which the metered dose inhaler may be actuated by the mechanical actuation mechanism without the necessity of the patient achieving the predetermined inspiration flow rate.




It is still a further object of the present invention to provide a dose-counting means associated with the metered dose inhaler actuation to count the number of medicament doses dispensed or available from the aerosol canister.




Still yet another object of the present invention is the provision of a blocking mechanism to prevent premature firing. Preferably, such a mechanism would prevent firing when the mouthpiece is closed and the manual actuation button depressed, or by accidental droppage of the unit with the mouthpiece closed.




Still another object of the present invention is to provide an adaption mechanism to facilitate use of different sizes and styles of FDA approved metered dose inhalers (aerosol canisters and the associated actuator).




The above and other objects of the invention not specifically recited are realized in specific illustrated embodiments of a breath/inhalation actuated device for use with metered dose inhalers including a housing having a cavity formed therein which is configured for receiving the aerosol canister and the actuator body of a metered dose inhaler and holding the metered dose inhaler in communication with an opening in the housing for dispensing medicament therethrough from the metered dose inhaler. The device also includes a mechanism for automatically activating the metered dose inhaler in response to inhalation of a user through the opening to vent the aerosol canister and provide medicament to the user.




In accordance with one aspect of the invention, the device also includes a return mechanism for automatically deactivating a vented metered dose inhaler to its unvented position where medicament is no longer dispensed therefrom. Preferably, the return mechanism acts in response to the activating means.




In accordance with another aspect of the invention, the housing comprises a cap covering the opening when the cap is in a closed position and exposing the opening when the cap is in an open position. The cap is moveable from its closed position to its opened position in such a manner as to arm the means for depressing the metered dose inhaler.




In accordance with yet another aspect of the present invention, the device further includes a control mechanism for controlling the time of venting of a metered dose inhaler. In a preferred embodiment, the control mechanism includes a mechanism which returns the aerosol canister to the unvented position, and a deformable viscoelastic element which creates a delay for increasing the amount of time the aerosol canister is in the unvented position.











BRIEF DESCRIPTION OF THE DRAWINGS




The above and other objects, features and advantages of the invention will become apparent from a consideration of the following detailed description presented in connection with the accompanying drawings in which:





FIG. 1

is a perspective view of a breath/inhalation actuated device for use with metered dose inhalers in accordance with the principles of the present invention;





FIG. 2

is a vertical cross-sectional view of the breath/inhalation actuated device shown in

FIG. 1

;





FIG. 3

shows a side view of an alternative embodiment of a device for use with metered dose inhalers in accordance with the principles of the present invention, the device being empty and in a static state wherein no load is placed on the actuation mechanism;





FIG. 3A

shows a side view of the embodiment of

FIG. 3

in the static state and with a metered dose inhaler disposed therein;





FIG. 3B

shows a side view of the embodiment of

FIGS. 3 and 3A

with the actuation mechanism with the dust cap being used to cock the device into a loaded state preparatory to actuation;





FIG. 3C

shows a side view of the embodiment of

FIGS. 3 through 3B

with the actuation mechanism in the loaded state and the dust cap closed;





FIG. 3D

shows a side view similar to that of

FIG. 3B

with the device ready for actuation;





FIG. 3E

shows a side view of the embodiment of

FIGS. 3

through


3


D at the beginning of the actuation cycle as a user inhales to move the internal vane and release the actuation mechanism;





FIG. 3F

shows a side view of the embodiment of

FIGS. 3 through 3E

at an intermediate state of the actuation cycle as the canister of the medicament inhalator is depressed to release medicament out through the actuator body;





FIG. 3G

shows a side view of the embodiment of

FIGS. 3 through 3F

at an intermediate stage immediately following that shown in FIG.


3


F and wherein the knock-off is moved to release the power spring;





FIG. 3H

shows a side view of the embodiment of

FIGS. 3 through 3G

at an end stage of the actuation cycle wherein the power spring has been returned to the position shown in FIG.


3


and wherein the canister of the metered dose inhaler is no longer in a vented position;





FIG. 4

shows an exploded view of the embodiment shown in

FIGS. 3 through 3H

to provide additional detail as to the structures of the actuator mechanism;





FIG. 5

shows a bottom view of a breath/inhalation actuated device with an alternate configuration for the damp block mechanism; and





FIG. 5A

shows a side view of the configuration of FIG.


5


.











DETAILED DESCRIPTION




Reference will now be made to the drawings in which the various elements of the present invention will be given numeral designations and in which the invention will be discussed so as to enable one skilled in the art to make and use the invention. It is to be understood that the following description is only exemplary of the principles of the present invention, and should not be viewed as narrowing the pending claims.




Referring to

FIGS. 1 and 2

, the present invention provides an inhalation actuated device, generally designated


10


, for mechanically actuating an aerosol canister


12


of a metered dose inhaler, generally designated


14


, under the action of a patient's inspiratory flow. As such, the inhalation actuated device


10


alleviates the difficulty most patients experience in coordinating inhalation and manually actuating the metered dose inhaler to achieve optimal deposition of medication in the lungs. Additionally, the inhalation actuated device also restores the aerosol canister


12


to a “resting” position, thereby preventing the aerosol container from being held in a vented position for a prolonged period of time.




The metered dose inhaler


14


, consists of the medicament-containing aerosol canister


12


, and an associated actuator body


16


with a actuator stem


16


′ disposed therein for receiving the aerosol canister


12


. The entire metered dose inhaler


14


is incorporated directly into the inhalation device


10


by the patient. Thus, the inhalation device


10


may be used with a variety of different metered dose inhalers without concern that the inhalation device will affect the medicament dose which the metered dose inhaler provides.




The relationship between the metered dose inhaler


14


and the inhalation actuated device


10


can be seen in

FIGS. 1 and 2

. Inhalation actuated device


10


typically includes an access panel


17


which can be used to open the inhalation activated device


10


to enable placement and removal of the metered dose inhaler


14


from the device. Access panel


17


can be transparent in order to be able to see MDI


14


therethrough, but it is envisioned according to this invention that access panel


17


could be opaque as well.




“Arming” T of the mechanical actuating mechanism of this invention may be initiated by a user by opening a mouthpiece cover or protective dust cap


18


which is operatively connected to power spring


20


by a latching mechanism. As shown in

FIG. 2

, the latching mechanism can comprise arm


22


and receiving member


24


for operatively receiving arm


22


and which is connected to power spring


20


. Opening dust cap


18


latches and stretches power spring


20


. The distal end


20




a


of the dust cap


18


is connected to an actuating platform


26


which is latched in the fixed position by a breath or inspiration-actuated catch/release mechanism


28


. Actuating platform


26


is further connected to a weaker return spring


30


, the distal end


30




a


of which is affixed to the housing of device


10


.




When a user inhales and reaches a predetermined inspiration flow rate, breath-actuated catch/release mechanism


28


releases actuating platform


26


and the force stored in “stretched” power spring


20


pulls the actuating platform


26


downward. The actuating platform


26


depresses and vents the aerosol canister


12


housed in device


10


and releases medicament contained therein as an aerosol mist. Importantly, as the aerosol canister


12


is depressed, it engages the actuator stem


16


′ to cause the release of the medicament. Thus, the metered dose of medicament is the same as if the metered dose inhaler


14


were used manually by the user. In other words, the medicament delivered to the patient is in the same quantities, etc. as that for which the metered dose inhaler was approved by the Food and Drug administration.




Immediately or shortly after the metered dose inhaler


14


is actuated, receiving member


24


of the latching mechanism is released from its latched position with arm


22


by the action (contact) of rod


32


, which is functionally attached to actuating platform


26


. Release of the receiving member


24


allows the actuating platform


26


, the power spring


20


and the lower platform


34


to move upwardly under the retractive action of return spring


30


.




As actuating platform


26


proximally approaches its “resting” position it engages breath-actuated catch/release mechanism


28


and becomes immobilized under the action of the latching means associated therewith. The upward movement of actuating platform


26


under the action of return spring


30


allows aerosol canister


12


to move upward under the action of its internal metering valve spring (not shown) to its “resting” position. During the course of the canister's movement upward, the metering chamber of aerosol canister


12


refills with fluid contents from the canister volume.




This auto-return feature of the present invention is an advance over other mechanical inhalers for which a user must intervene to return the aerosol canister to its resting position, either by “rearming” the device or by some other mechanism. In this case, there is no control over the period of time during which the aerosol canister remains in the depressed (vented) position. In the vented position a canister metering valve is subject to intrusion of air from the environment. If a canister remains in the vented position for too long, “vapor” locking of the metering valve may occur when the canister is finally released from the depressed position. In the prior art devices, all or a portion of the air in the metering chamber may not be eliminated during the filling cycle and this remaining air displaces volume that would normally be filled with fluid from the canister contents. Consequently, a lower than specified dose of medicament is present in the metering chamber at the end of the filling cycle, manifested as a lower dosing of medication when the user next actuates the metered dose inhaler.




Timing control of the venting period of the aerosol canister, such as aerosol canister


12


, is achieved by incorporation of a viscoelastic element which serves to slow the downward movement of the actuating platform after venting of the aerosol canister has begun. In one embodiment and as shown in

FIG. 2

, the viscoelastic element is incorporated as a fixture, such as viscoelastic element


36


, on lower platform


34


and is acted upon by rod


32


connected to actuating platform


26


. The viscoelastic element


36


may be polymeric in nature or may be constructed via a traditional spring and dashpot arrangement.




On actuation, power spring


20


provides the force for actuating the canister


12


to ensure complete venting by movement of the actuating platform


26


in a downward fashion. Rod


32


is integrated into actuating platform


26


and travels with actuating platform


26


as it moves downward. Within a short distance from its “resting”, latched position, actuating platform


26


contacts aerosol canister


12


and pushes it downward under the influence of power spring


20


. As canister


12


moves downward, its metering chamber moves axially with respect to the end of the valve stem until the metering chamber begins to vent its contents. Canister


12


continues its downward movement until rod


32


, by means of an associated “stop”, contacts the viscoelastic element


36


. The point of contact with the viscoelastic element


36


preferably coincides with a point intermediate between the position at which the metering chamber vents and the point at which the aerosol canister valve spring (not shown) is fully compressed at its “bottom out” position.




Upon contacting the viscoelastic element


36


, the downward motion of actuating platform


26


slows considerably, advancing downward under the influence of power spring


20


at a rate governed primarily by the time-dependent deformation of the viscoelastic material. This slowing of the downward motion of actuating platform


26


serves to provide the time required for complete venting of the metering chamber. Rod


32


continues to move slowly downward as viscoelastic element


36


deforms until rod


32


contacts lower platform


34


which can be a part of receiving member


24


. At this point lower platform


34


is released from its latched and fixed position and actuating platform


26


is free to move upward under the influence of its return spring


30


and possibly even with assistance provided by the internal aerosol canister valve spring (not shown). As actuating platform


26


moves upward, lower platform


34


also moves upward under the action of the power spring


20


. The aerosol canister metering chamber remains vented to the atmosphere until the upward movement of the canister results in sealing off of the stem connection between the metering chamber and the atmosphere. The process provides a means of controlling the time period during which the metering chamber is vented to the atmosphere, optimally allowing for a venting period of 300-500 milliseconds (ms), to prevent undesired air intrusion.




Actuating platform


26


is further connected to a counter


38


by a connecting rod


40


which advances counter


38


by one unit for each complete canister actuation/recovery cycle. This arrangement provides the user with an indication of the number of doses of medication used or remaining in the canister. The counter may be reset to a base value when an exhausted metered dose inhaler is replaced.




It will be understood that various details of the invention may be changed without departing from the scope of the invention. For example, in

FIGS. 3 through 4

, there is shown a preferred embodiment of an inhalation actuated device for use with a metered dose inhaler. Referring specifically to

FIG. 3

, there is shown a side view detailing the inner workings of an inhalation actuated device, generally indicated at


200


, for use with metered dose inhalers. Beginning on the right side of

FIG. 3

, the inhalation actuated device


200


includes a housing body


204


which is configured with a void


208


configured to receive the aerosol canister and actuator body of a metered dose inhaler (shown in FIG.


3


A).




To enable placement of the metered dose inhaler in the void


208


in the housing


204


, a door


212


is pivotably attached to the housing. By rotating the door


212


approximately 180 degrees relative to the housing


204


, an opening is formed, thereby providing access to the void


208


. The housing


204


also includes a cover or dust cap


216


. The dust cap


216


pivots with respect to the housing to expose the inhalation opening of the medicament inhalator. Pivoting of the dust cap


216


also arms the actuation mechanism, generally indicated at


220


, as is described in detail below.




To move the aerosol canister of the metered dose inhaler and thereby release medicament, the actuation mechanism


220


includes a plunger


224


which is positioned at the top of the void


208


in the housing


204


. The plunger


224


is disposed on a lever arm


228


. A first end


228




a


of the lever arm


228


is pivotably attached to the housing


204


so as to allow the lever arm to rotate and move the plunger


224


generally vertically.




An opposing second end


228




b


of the lever arm


228


is selectively engaged by a catch mechanism


232


which is also attached to the housing


204


. The catch mechanism


232


selectively engages the second end


228




b


of the lever arm


228


to selectively prevent pivoting of the lever arm. When the catch mechanism


232


engages the lever arm


228


, the lever arm is unable to rotate, thereby preventing any meaningful movement of the plunger


224


. Once the catch mechanism


232


no longer engages the lever arm


228


, the lever arm is free to rotate downwardly, thereby moving the plunger


224


downwardly to actuate a metered dose inhaler disposed in the void


208


.




The catch mechanism


232


includes a rotary sear


236


and an internal vane return spring


240


. The rotary sear


236


rotates to engage an internal vane


244


. An upper first end


244




a


of the internal vane


244


is pivotably attached to the housing


204


. An opposing lower second end


244




b


is disposed adjacent a rear air intake port


250


. When a user inhales through the opening in the actuator body of the metered dose inhaler, air is drawn into the housing


204


through the rear air intake port


250


causing movement of the internal vane


244


, release of the catch mechanism


232


and allowing movement of the lever arm


228


as described move fully below.




In addition to the structures discussed above, the lever arm


228


is also attached to a power spring


254


adjacent its second end


228




b


, and a return spring


256


adjacent the lever arm's first end


228




b


. The power spring


254


is configured to forcefully rotate the lever arm


228


downward to thereby actuate a metered dose inhaler with the plunger


224


, while the return spring


256


is configured to help return the lever arm to the position shown in FIG.


3


.




The power spring


254


is attached at a first, upper end


254




a


to the lever arm


228


. An opposing lower end


254




b


is attached to a spring plate


258


. The spring plate


258


forms a part of a spring latch assembly, generally indicated at


262


, and is configured to receive a pawl


266


and a latch


270


.




The pawl


266


is attached to a link block


274


, which is attached to a connector arm


278


. The connector arm


278


,.in turn, is connected to the dust cap


216


such that rotation of the dust cap downwardly causes downward movement of the connector arm


278


, the link block


274


and the pawl


266


.




The spring latch assembly


262


also includes a positioning arm


282


. A first end


282




a


of the positioning arm is attached to the link block


274


. The positioning arm


282


extends rearwardly and upwardly to a second end


282




b


which terminates adjacent the second end


244




b


of the internal vane


244


.




Also shown in

FIG. 3

is a pair of walls


286


disposed adjacent the power spring


254


. The walls


286


define a channel in which slides a knock-off mechanism


290


. An upper first end


290




a


of the knock-off mechanism


290


is position below the lever arm


228


or some attachment thereto such that downward movement of the lever arm


228


causes downward movement of the knock-off


290


. The opposing second end


290




b


of the knock-off


290




b


(which looks similar to an open ended wrench) engages a rotatable arm


294


which is connected to the latch


270


.




The operational cycle of the device


200


will be discussed with respect to

FIGS. 3A through 3H

in detail. In

FIG. 3A

, there is shown a view similar to that shown in

FIG. 3

, with the exceptions that the link bloc


274


is shown in cross-section, and the metered dose inhaler


14


(including the aerosol canister


12


and the actuator body


16


) is disposed in the device


200


.




As shown in

FIG. 3A

, device


200


is in a static state. In other words, none of the components are in a loaded position. The power spring


254


is in a retracted position because the spring plate


258


has not been pulled downwardly. The catch mechanism


232


is static because the power spring


254


is not pulling downwardly on the lever arm


228


. Additionally, because the lever arm


228


is in a first, upper orientation, the return spring


256


is disposed in its resting position.





FIG. 3A

also shows an enhanced view of a damp block


298


. The damp block


296


is disposed on the lever arm


228


and is positioned to engage a wall


298


. The damp block


296


serves as a timing control along the displacement cycle.




Turning now to

FIG. 3B

, there is shown a side view similar to that shown in

FIG. 3A

, except that the dust cap


216


has been rotated approximately


105


degrees with respect to the housing


204


. Rotation of the dust cap


216


causes the connector arm


278


(which is attached at a lower end to the dust cap) to move downwardly. Downward movement of the connector arm


278


causes a similar downward movement of the link block


274


to which the connector arm


278


is pivotably attached.




The link block


274


is also pivotably attached to the pawl


266


. Downward movement of the link block


274


causes downward movement of the pawl


266


. The pawl


266


, in turn, moves the spring plate


258


downwardly, thereby loading the power spring


254


.




Once the pawl


266


has carried the spring plate


258


to its bottom extreme, the pawl pivots out of engagement with the spring plate. The spring plate


258


remains in the extended position due to the latch


270


which is disposed on the opposite side of the spring plate from the pawl


266


. Thus, the power spring


254


is held in a loaded or armed position.




One advantage of the present invention is that the device


200


can be armed without the need for firing. Turning now to

FIG. 3C

, there is shown a view similar to that shown in

FIG. 3B

, with the exception that the dust cap


216


has been rotated back into the position shown in FIG.


3


A. Closing the dust cap


216


, neither disarms the actuating mechanism


220


, nor causes actuation of the metered dose inhaler


14


. Thus, if the user opens the dust cap


216


and then determines that medicament is not needed, the dust cap


216


may be closed. Alternatively, those users who arm fearful that they might not fully cock the dust cap


216


to arm the actuation mechanism


220


during an attack can leave the actuation mechanism in an armed orientation so that the dust cap need only be opened sufficiently to provide access to the metered dose inhaler.




The actuation mechanism


220


of the device


200


is able to remain in an armed orientation because of the ability of the pawl


266


to disengage the spring plate


258


once the spring plate is in position to be held by the latch


270


. With the latch


270


holding the spring plate


258


, the dust cap


216


can be opened repeatedly without causing the metered dose inhaler


14


to be actuated.





FIG. 3D

shows a side view of the device


200


and the metered dose inhaler


14


which is substantially the same as that shown in FIG.


3


B. The dust cap


216


has been returned to the open position, wherein it is rotated away from the opening


16




a


of the actuator body


16


of the metered dose inhaler. The spring plate


258


remains in the armed position wherein it is held by the latch


270


.




Referring now to

FIG. 3E

, there is shown a side view similar to that shown in

FIG. 3D

, but with the actuation mechanism


220


in the beginning stages of actuating the metered dose inhaler


14


. As the user-inhales through the opening


16




a


of the actuator body


16


, a vacuum is created within the void


208


. In response to the vacuum, air flows into the housing


204


through the rear air intake port


250


at the rear of the housing.




The pressure differential between the ambient air and the vacuum created the void


204


by the user's inhalation causes the second, lower end


244




b


of the internal vane


244


to move toward the void


208


. Movement of the second, lower end


244




b


of the internal vane


244


causes rotation of the internal vane


244


about the first, upper end


244




a


. Because the internal vane


244


has a return spring


240


disposed in communication therewith, the amount of air necessary to move the internal vane


244


is more than might flow through the rear air intake port


250


due to a small breeze etc. Preferably, the resistance provided by the internal vane


244


return spring


240


is correlated to a desired inhalation rate to ensure that the user is inhaling deeply before the internal vane is rotated.




As the internal vane


244


rotates, a tab


244




c


on the rotatable internal vane begins to move relative to an engaging tab


236




a


of the rotary sear


236


. As long as the tab


236




a


of the rotary sear


236


, and the tab


244




c


of the internal vane


244


remain engaged, the lever arm


228


will remain in the first, upper position.




As the internal vane


244


rotates with respect to its first, upper end


244




a


, however, the tab


244




c


of the internal vane disengages the tab


236




a


of the rotary sear


236


. Once the engagement has terminated, the rotary sear


236


is able to rotate clockwise (relative to this view orientation) in the manner indicated by arrow


304


in FIG.


3


F. Rotation of the rotary sear


236


, in turn, releases the second end


228




b


of the lever arm


228


.




With the second end


228




b


of the lever arm


228


released from the rotary sear


236


, the lever arm


228


is free to pivot about the first end


228




a


which is pivotably attached to the housing


204


. Because the first end


254




a


of the power spring


254


is attached to the lever arm


228


adjacent the second end


228




b


, and because the spring plate


258


is holding the lower end


254




b


of the power spring so that the spring is under tension, the second end


228




a


of the lever arm rotates downwardly with a significant amount of force. The damp block


296


engaging the wall


298


provides a momentary delay in the return of the lever arm


228


to its upper position and thereby allows the aerosol canister to fully vent.




The downward rotation of the lever arm


228


also causes downward movement of the plunger


224


which is attached to the lever arm. The downward movement of the plunger


224


causes downward movement of the aerosol canister


12


with respect to the actuator body


16


of the metered dose inhaler


14


. This, of course, causes the metering valve (not shown) to release medicament, which is channeled through the actuator stem (not shown) and out the opening


16




a


of the actuator body


16


for inhalation by the user.




Once the metered dose inhaler


14


has been actuated by the actuation mechanism


220


to release medicament, it is important that the metered dose inhaler


14


not be maintained in a vented configuration. If the aerosol canister


12


remains pressed down into the actuator body


16


for a prolonged period of time, air will work its way into the aerosol metering valve. The air can cause vapor locking and interferes with the ability of the metering valve to provide consistent doses of medicament.




To prevent such problems, the device


200


of the present invention is configured to enable the aerosol canister


12


to return to an unvented position. Additionally, the device


200


is configured to automatically return to a position in which it may be cocked and then actuated.




To ensure return of the aerosol canister


12


to an unvented position, the device


200


is configured to prevent the lever arm


228


and plunger


224


from continuing to apply pressure to the canister after the actuation mechanism


220


has been actuated. As the lever arm


228


rotates downwardly, the lever arm or some projection attached thereto impacts the upper first end


290




a


of the knock-off


290


. The force from the lever arm


228


pushes the knock-off


290


downwardly between the walls


286


. The second, lower end


290




b


of the knock-off


290


is moved downwardly and rotates the rotatable arm


294


.




Because the rotatable arm


294


is attached to the latch


270


which holds the spring plate


258


, downward movement of the rotatable arm causes the latch to rotate away from the spring plate


258


as shown in FIG.


3


G. Once the latch


270


rotates away from the spring plate


258


, the spring plate and the lower end


254




b


of the power spring


254


are no longer held in the lower position. The spring plate


258


is not held in place by the pawl


266


due to the wall


300


. Thus, movement of the knock-off


290


serves as a release for the spring plate


258


and the power spring


254


attached thereto. With the power spring


254


no longer held at the lower end


254




b


, the power spring no longer applies a strong downward force on the lever arm


228


.





FIG. 3G

shows the position of the actuation mechanism


220


at the latter stages of the inhalation cycle. The internal vane


244


remains in a rotated open position where the lower end


244




b


is rotated away from the rear air intake port. The lever arm


228


is in the second, lower position


228


in which the plunger


224


continues to hold the aerosol canister


12


in a vented state. Additionally, the knock-off


290


has been moved into the lower position wherein the lower end


290




b


of the knock-off


290


rotates the rotatable arm


294


and removes the latch


270


from the spring plate


258


as indicated by the arrow


320


.




Removal of the latch


270


from the spring plate


258


leaves the lower end of the power spring


254


essentially unattached. The unattached power spring


254


, in turn, no longer applies a downward pressure on the lever arm


228


. Thus, as shown in

FIG. 3H

, the return spring


256


which is disposed adjacent the first end


228




a


of the lever arm


228


returns the lever arm to the first, upper position shown in FIG.


3


. Movement of the lever arm


228


from the second position back into the first position lifts the plunger


224


from the aerosol canister


12


and allows the aerosol canister to return to the unvented position. Additionally, the compression spring which is integral to the metering chamber of the canister assists in returning the lever arm


228


to the first position as the compression spring in the cannister decompresses.




As the lever arm


228


returns to the upper position, the rotary sear


236


of the catch mechanism


232


rotates counter-clockwise (as indicated by arrow


324


to again receive the distal end


228




b


of the lever arm. The rotary sear


236


will not rotate clockwise and release the lever arm


228


because the lever arm is biased into the upper position by the return spring


256


. To overcome the biasing of the return spring


256


, the power spring


254


must be in tension. Because the spring plate


258


is not being held by either the pawl


266


or the latch


270


, no tension is present on the spring.




The latch


270


and the knock-off


290


are able to return to their normal positions due to a flat spring


292


connected to the knock-off and the lower part of the wall


300


. The movement of the knock-off moves the rotatable arm


294


and the latch


270


to which it is attached. With the latch


270


rotated forwardly, the latch


270


is once again in position to secure the spring plate


258


when the spring plate is drawn down by the pawl


266


.




As the user completes his or her inhalation, the internal vane spring


240


biases the internal vane


244


back into its initial position, wherein the lower end


244




b


is disposed immediately adjacent the rear air intake port


250


. Rotation of the internal vane


244


places the tab


244




c


of the internal vane immediately adjacent with the tab


236




a


of the rotary sear


236


. Thus, the catch mechanism


232


is again in place and configured to hold the lever arm


228


in the upper position until the internal vane


244


releases the catch mechanism and allows the power spring


254


to pull the lever arm downwardly.





FIGS. 3A through 3H

have essentially shown the complete cycle of the device. By shutting the dust cap


216


shown in

FIG. 3H

, the device


200


is once again in a static state (like in

FIG. 3A

) wherein the internal vane spring


240


, the power spring


254


and the return spring


256


are in non-load configurations.




Turning now to

FIG. 4

, there is shown an exploded view of the device for use with metered dose inhalers, generally indicated at


200


. The device


200


includes the body


204


configured to form a void


208


for receiving a metered dose inhaler (not shown). The metered dose inhaler is placed in the body through the door


212


disposed on the front side thereof.




To expose the metered dose inhaler, the dust cap


216


pivots with respect to the body


204


. The dust cap is also attached to a connector arm which functions to arm the power spring


254


via the link block


274


and pawl


266


. With the power


254


loaded, inhalation by the user of the device moves the internal vane


244


and thereby releases the lever


228


to move the plunger


224


downwardly to actuate the metered dose inhaler. Of course, an adapter


330


can be attached to the plunger


224


to facilitate use of the device


200


with metered dose inhalers which are smaller than the normal size. With the exception of the adapter, the device


200


functions the same way regardless of the height of the metered dose. inhaler.




After actuation of the metered dose inhaler, the knockoff


290


is moved to release the latch


270


, thereby releasing the power spring


254


and allowing the lever


228


to be moved back into the initial position.




Turning now to

FIG. 5

, there is shown a bottom view of an alternate embodiment of a damping mechanism, similar in function to that shown previously at


296


. Rather than attempting to slow the return of the lever


228


directly by being disposed on the lever


228


, the damping mechanism, generally indicated at


400


, is formed by a pair of spoked wheels


404


which are disposed on either side of the device. An engagement rod


410


extends through the device and engages the spring plate


258


(FIGS.


3


A through


3


H). The ends of the engagement rod


410


engage the spoked wheels


404


of the. damping mechanism and thereby slows its upward movement. Slowing the upward movement of the engagement rod, in turn, slows the upward movement of the spring plate


258


, thereby slowing the upward movement of the spring


254


and the lever arm


228


. As with the other configuration of a damping mechanism, damp block


296


, the purpose of such slowing to ensure that the aerosol canister has the appropriate amount of time to vent prior to the lever


228


returning to its original position.




The spoked wheels


404


which serve as the damping mechanism


400


are held in place by an external bracket


414


.




Turning now to

FIG. 5A

, there is shown a side view of a breath actuated device with the external bracket


414


disposed thereon. The position of one of the spoked wheels


404


forming the damping mechanism


400


are shown in shadow. In such a position, the damping mechanism provides minimal interference with the device, but functions well to appropriately slow the return movement of the lever


228


.




Thus there is disclosed an improved inhalation actuated device for use with metered dose inhalers. Those skilled in the art will appreciate numerous modifications which can be made without departing from the scope and spirit of the, present invention. The appended claims are intended to cover such modifications.



Claims
  • 1. A device for use with a metered dose inhaler including an actuator body and a medicament canister movable with respect to the actuator body to release medicament, the device comprising:a body having a void formed therein configured for selectively holding the actuator body and medicament canister of a metered dose inhaler; an actuator means disposed in the body adjacent the void for selectively moving the medicament canister with respect to the actuator body so as to actuate the metered dose inhaler when a metered dose inhaler is disposed in the void of the housing, the actuator means having an initial, unloaded position wherein the actuator means is in an unloaded state and a second, loaded position wherein the actuator means is in a loaded state, the actuator means comprising a lever arm and a plunger disposed in communication with the lever arm, the lever arm having an upper position wherein the lever arm holds the plunger in a first position wherein the plunger does not forcefully engage the medicament canister to release medicament in the metered dose inhaler and a lower position wherein the plunger is moved downwardly into a second position wherein the plunger engages the medicament canister of the metered dose inhaler and actuates the metered dose inhaler, and, the actuator means further comprising a biasing means for returning the lever arm to the upper position; and cocking means disposed in communication with the actuator means for placing the actuator means in the second loaded state wherein inhaling through the device releases the actuator means and actuates the metered dose inhaler.
  • 2. The device according to claim 1, further comprising a first spring means for forcibly moving the lever arm from the upper position to the lower position.
  • 3. The device according to claim 2, wherein the device further comprises release means for releasing the first spring means and thereby enabling the biasing means to return the lever arm to the upper position.
  • 4. The device according to claim 1, further comprising a catch means disposed in communication with the lever arm for selectively holding the lever arm in the upper position.
  • 5. The device according to claim 4, wherein the device further comprises a vane means movable by inhalation of the user, the vane means being disposed in communication with the catch means to selectively release the catch means, thereby allowing movement of the lever arm from the upper position to the lower position.
  • 6. The device according to claim 1, wherein the device further comprises a cover means attached to the body and movable between a closed position and an open position, the cover means forming a portion of the cocking means.
  • 7. A device for use with a metered dose inhaler including an actuator body and a medicament canister movable with respect to the actuator body to release medicament, the device comprising:a body having a void formed therein configured for selectively holding the actuator body and medicament canister of a metered dose inhaler; an actuator means disposed in the body adjacent the void for selectively moving the medicament canister with respect to the actuator body so as to actuate the metered dose inhaler when a metered dose inhaler is disposed in the void of the housing, the actuator means having an initial, unloaded position wherein the actuator means is in an unloaded state and a second, loaded position wherein the actuator means is in a loaded state, the actuator means comprising a lever arm and a plunger disposed in communication with the lever arm, the lever arm having an upper position wherein the lever arm holds the plunger in a first position wherein the plunger does not forcefully engage the medicament canister to release medicament in the metered dose inhaler and a lower position wherein the plunger is moved downwardly into a second position wherein the plunger engages the medicament canister of the metered dose inhaler and actuates the metered dose inhaler, and further comprising biasing means for returning the lever arm to the upper position; and cocking means disposed in communication with the actuator means for placing the actuator means in the second loaded state wherein inhaling through the device releases the actuator means and actuates the metered dose inhaler; wherein the device further comprises a cover means attached to the body and movable between a closed position and an open position, the cover means forming a portion of the cocking means; and wherein the actuator means comprises spring means disposed in communication with the plunger for forcibly moving the plunger into the second position, the spring means having an unloaded orientation and a loaded orientation, and wherein movement of the cover means into the open position moves the spring means into the loaded position.
  • 8. The device according to claim 7, wherein the spring means remains in the loaded orientation if the cover means is moved into the closed position without a user inhaling through the device.
  • 9. The device according to claim 8, further comprising means for releasing the spring means from the loaded position after a user inhales through the device and the spring means moves the plunger from the first position to the second position.
  • 10. An inhalation-actuated device for use with a metered dose inhaler formed by an actuator body and a medicament canister, the device comprising:a housing having a void formed therein and configured for receiving the actuator body and medicament canister of the metered dose inhaler; a cap means pivotable with respect to the body between a closed position and an open position for selectively exposing at least a portion of the actuator body when the metered dose inhaler is disposed within the body; an actuator means disposed in the housing for selectively actuating the metered dose inhaler, the actuator means having a static, unloaded position and a loaded position, the actuator comprising a lever rotatable at one end for movement between an upper position wherein the actuator means does not forcefully engage a medicament canister of a metered dose inhaler when the metered dose inhaler is positioned in the housing, and a lower position, wherein the actuator means forcefully engages the medicament canister to actuate the metered does inhaler; and wherein the cap means is disposed in communication with the actuator means such that moving the cap means from the closed position to the open position moves the actuator means into the loaded position.
  • 11. An inhalation-actuated device according to claim 10, wherein the actuator means comprises a power spring having a first, non-load position, and a second, loaded position, and wherein pivoting the cap means into the open position moves the power spring into the second, loaded position.
  • 12. An inhalation-actuated device according to claim 11, wherein the actuator means further comprises a plunger, the plunger being disposed adjacent the void such that movement of the lever arm causes the plunger to actuate a metered dose inhaler disposed within the void.
  • 13. An inhalation-actuated device according to claim 12, wherein the power spring is attached to the lever and provides a downward force sufficient to actuate a metered dose inhaler when the power spring is in the second, loaded position.
  • 14. An inhalation-actuated device according to claim 13, wherein the actuator means further comprises a biasing means for biasing the lever-arm in the upper position.
  • 15. An inhalation-actuated device according to claim 13, wherein the actuator means further comprises a catch means configured to selectively hold the lever arm in the upper position.
  • 16. An inhalation-actuated device according to claim 15, wherein the actuator means further comprises a vane configured for movement by inhalation through the device, the vane being moveable between a first position wherein the vane holds the catch means and a second position wherein the vane releases the catch means to thereby enable the lever arm to move into the lower position.
  • 17. An inhalation-actuated device according to claim 16, wherein the actuator means further comprises means for biasing the vane into the first position.
  • 18. An inhalation-actuated device according to claim 13, wherein the power spring is held in the second position by a latch, and wherein movement of the lever into the second position releases the latch.
  • 19. An inhalation-actuated device according to claim 18, further comprising a knock-off disposed functionally between the lever arm and the latch for moving the latch in response to downward movement by the lever arm.
  • 20. An inhalation-actuated device according to claim 10, wherein the lever is configured for movement between a first, upper position and a second lower position, the lever causing actuation of a metered dose inhaler disposed in the void when in the second lower position and wherein the actuator means comprises:a biasing means for encouraging the lever arm into the first, upper position; a catch means configured for selectively holding the lever in the first, upper position; a power spring for selectively applying a downward force on the lever to cause movement of the lever into the second, lower position when the catch means is not holding the lever arm in the first upper position, the power spring having a first, unloaded position wherein power spring does not provide sufficient downward force to move the lever from the first, upper position to the second, lower position, and a second loaded position wherein the power spring places sufficient downward force on the lever to move the lever into the second, lower position; and means for moving the power spring from the first, unloaded position to the second, loaded position.
  • 21. An inhalation-actuated device for use with a metered dose inhaler formed by an actuator body and a medicament canister, the device comprising:a housing having a void formed therein and configured for receiving the actuator body and medicament canister of the metered dose inhaler; a cap means pivotable with respect to the body between a closed position and an open position for selectively exposing at least a portion of the actuator body when the metered dose inhaler is disposed within the body; an actuator means disposed in the housing for selectively actuating the metered dose inhaler, the actuator means having a static, unloaded position and a loaded position, the actuator comprising a lever arm rotatable at one end for movement between an upper position wherein the actuator means does not forcefully engage a medicament canister of a metered dose inhaler when the metered dose inhaler is positioned in the housing, and a lower position, wherein the actuator means forcefully engages the medicament canister to actuate the metered does inhaler, and wherein the actuator means comprises a power spring having a first, non-load position, and a second, loaded position, and wherein pivoting the cap means into the open position moves the power spring into the second, loaded position; wherein the cap means is disposed in communication with the actuator means such that moving the cap means from the closed position to the open position moves the actuator means into the loaded position; and wherein the power spring is attached to a spring plate, wherein the cap means is attached to a pawl, and wherein rotation of the cap means into the open position causes the pawl to engage the spring plate and pull the power spring into the second, loaded position.
  • 22. An inhalation-actuated device for actuating a metered dose inhaler having a medicament canister and an actuator body, the inhalation-actuated device comprising:a housing having a void configured for receiving the metered dose inhaler, such that the metered dose inhaler can be withdrawn from the housing; an actuator assembly disposed in communication with said void for moving the medicament canister in the actuator body to thereby cause the release of medicament, the actuator having a first configuration wherein the actuator does not apply a movement force to the medicament canister and a second position wherein the actuator applies a movement force to the medicament canister to cause the release of medicament, the actuator comprising a lever rotatable between an upper position and a lower position, a plunger carried by the lever and configured to forcibly engage a medicament canister of a metered dose inhaler when a metered dose inhaler is disposed in the housing when the lever is in the lower position, but not when the lever is in the upper position, a first biasing element attached to the lever for forcefully drawing the lever from the upper position to the lower position, and a second biasing element engaging the lever for moving the lever from the lower position to the upper position.
RELATED APPLICATIONS

This application is a continuation-in-part application of U.S. patent application Ser. No. 08/659,723, filed Jun. 6, 1996, now U.S. Pat. No. 5,826,571, (which is expressly incorporated herein) and which claimed the benefit of U.S. Provisional Application Serial No. 60/000,086, filed Jun. 8, 1995.

US Referenced Citations (27)
Number Name Date Kind
3565070 Hanson et al. Feb 1971 A
3598294 Hedrick et al. Aug 1971 A
3636949 Kropp Jan 1972 A
3789843 Armstrong et al. Feb 1974 A
3900138 Phillips Aug 1975 A
4294407 Reichl et al. Oct 1981 A
4300456 Messersmith Nov 1981 A
4334531 Reichl et al. Jun 1982 A
4817822 Rand et al. Apr 1989 A
4877989 Drews et al. Oct 1989 A
5033463 Cocozza Jul 1991 A
5069204 Smith et al. Dec 1991 A
5069701 Pastor et al. Dec 1991 A
5119806 Palson et al. Jun 1992 A
5217004 Blasnik et al. Jun 1993 A
5347998 Hodson et al. Sep 1994 A
5349945 Wass et al. Sep 1994 A
5408994 Wass et al. Apr 1995 A
5427089 Kraemer Jun 1995 A
5447150 Bacon Sep 1995 A
5452711 Gault Sep 1995 A
5482030 Klein Jan 1996 A
5497764 Ritson et al. Mar 1996 A
5497765 Praud et al. Mar 1996 A
5564414 Walker et al. Oct 1996 A
5826571 Casper et al. Oct 1998 A
5904139 Hauser May 1999 A
Foreign Referenced Citations (3)
Number Date Country
0 028 929 Nov 1980 EP
0 186 280 Oct 1985 EP
WO 9720589 Jun 1997 WO
Provisional Applications (1)
Number Date Country
60/000086 Jun 1995 US
Continuation in Parts (1)
Number Date Country
Parent 08/659723 Jun 1996 US
Child 09/181150 US